RN Case Manager – Behavioral Health

Stelle nicht auf LinkedIn

🕒 vor 29 Tagen

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $90.000 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

👔 Manager

👻 Geisterscore 16%

Was es bedeutet: wie wahrscheinlich diese Stelle offen bleibt, ohne dass aktiv eingestellt wird.So liest du es: 60 % oder höher heißt, wir halten das für einen Geisterjob. Niedrigere Werte sind weniger bedenklich.Wie wir werten: Dauer offen, Neuveröffentlichungen, offene Stellen vs Teamgröße, wie schnell Stellen geschlossen werden, und ob ein Gehalt angegeben ist.Hinweis: eine Schätzung aus öffentlichen Daten, kein Urteil über das Unternehmen. Echte Stellen können hoch punkten, nutze es also als Hinweis, nicht als Fakt.

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Lebenslauf hochladen

Guide Healthcare

WebsiteLinkedInAlle Stellen

51 - 200 Mitarbeiter

Gegründet 2018

⚕️ Krankenversicherung

🏥 Gesundheitswesen

🎯 Rekrutierung

Healthcare Insurance • Healthcare • Recruitment

Guide Healthcare führt eine Bewegung an, bei der Kreativität positive Veränderungen im Gesundheitssektor bewirkt. Das Unternehmen ist auf die Bereitstellung von Gesundheitsdiensten im Bereich der ergänzenden Gesundheitsversorgung und die Rekrutierung von Fachkräften im Gesundheitswesen spezialisiert und konzentriert sich dabei auf die Unterstützung und Behandlung älterer Erwachsener. Mit dem Engagement, seinen Kunden, Partnern und Teams Mehrwert zu bieten, strebt Guide Healthcare danach, in der Branche einen anderen Weg zu gehen.

Beschreibung

• Enhance the quality of member management, maximize member satisfaction and cost effectiveness, and assist members in navigating the healthcare system • Work collaboratively with clients, members, and healthcare teams to promote wellness and problem-solve • Conduct telephonic member and provider outreach • Collect and analyze data • Perform reporting, clinical review, medical and behavioral health assessments, and compliant documentation • Pull, sort, and analyze data to determine member eligibility for the Population Health Management Program • Coordinate and provide timely, effective, equitable, safe, and member-centric care while following HMO processes • Manage case assignments, including outreach, documentation, monitoring case progression, and case closure • Meet reporting and documentation standards and participate in collaborative meetings with department staff and clients • Address barriers, social determinants, member motivators, and psychosocial issues to support wellness and health autonomy • Educate members on navigating the HMO and healthcare spectrum while promoting quality and cost-effective interventions and outcomes • Support operational activities to meet customer requirements and satisfaction • Maintain confidentiality of computer programs, medical records, and data • Participate in QM/UM Committee Meetings, including material preparation, minutes, data collection and analysis, reporting, and follow-up tasks; some meetings may require in-person attendance • Rotate in off-hour/weekend calls if applicable • Pursue continued professional growth and education consistent with current nursing practice and the Illinois Practice Act • Perform other responsibilities as assigned and according to annual program requirements

🎯 Anforderungen

• Current IL Registered Nurse License • Illinois nursing professional staff must complete 20 hours of continuing education per 2-year license renewal cycle • Minimum of five years of experience in a variety of health care settings • Highly experienced in Case Management and Chronic Condition Management • Knowledge of utilization review, quality improvement, managed care, and/or community health • Previous remote and/or telephonic work experience • Basic knowledge of case management principles, healthcare management, and reimbursement components • Experience with motivational interviewing • Excellent clinical judgment • Highly skilled in verbal and written communication • Strong organizational, problem solving, and time management skills • Ability to ensure timely completion of projects and assignments • Ability to prioritize and react to rapidly changing business needs • Ability to work independently and remotely with multi-tasking skills for fast-paced workflows • Software knowledge including word processing and spreadsheets • Computer skills including MS Word, Excel, Access, PDF, Outlook, etc. • Experience navigating multiple EMRs • High-speed/secured home internet connection with minimum 100 Mbps download and 10 Mbps upload • Private HIPAA-compliant home office with a locking door for security and privacy • Backup internet connection service options for outages

🏖️ Vorteile

• Fully remote work with flexible work-from-home arrangement • Necessary work equipment provided at no charge • Medical, Dental, and Vision plans • 401(k) plan with a 3% employer match to the employee’s 6% contribution • Life and Disability insurance • Voluntary Life insurance options • Employee Assistance Program (EAP) • Paid time off plans • Paid parental leave • Learning and development resources • Virtual meetings and remote-first work environment